=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538296223
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GUIDE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2007
-----------------------------------------------------
Last Update Date | 05/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4725 DORSEY HALL DR STE A317
-----------------------------------------------------
City | ELLICOTT CITY
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21042-7713
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-274-7887
-----------------------------------------------------
Fax | 410-970-6969
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4725 DORSEY HALL DR STE A317
-----------------------------------------------------
City | ELLICOTT CITY
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21042-7713
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-274-7887
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. DONNA MARIE SAUNDERS
-----------------------------------------------------
Credential | CLINICAL PSYCHOLOGIS
-----------------------------------------------------
Telephone | 410-872-2990
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | 03947
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------